| Name: | Alexander Scagnelli, M.D., P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Apr 1994 (31 years ago) |
| Identification Number: | 000076340 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 468 KINGSTOWN ROAD UNIT 4, WAKEFIELD, RI, 02879, USA |
| Purpose: | PSYCHIATRIC PRACTICE OF MEDICINE |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417904988 | 2006-05-28 | 2019-01-21 | 469 CENTERVILLE RD STE 103, WARWICK, RI, 028864355, US | 469 CENTERVILLE RD STE 103, WARWICK, RI, 028864355, US | |||||||||||||||||||||||||||||
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| Phone | +1 401-821-4100 |
| Fax | 4018239180 |
Authorized person
| Name | MRS. DEBORAH A. FALCO |
| Role | OFFICE MANAGER |
| Phone | 4018214100 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | R I BLUECROSS GROUP # |
| Number | BCG0005442-001 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ALEXANDER SCAGNELLI | Agent | 468 KINGSTOWN ROAD UNIT 4E, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| ALEXANDER SCAGNELLI | PRESIDENT | 468 KINGSTOWN RD #4 WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202452229750 | Annual Report | 2024-04-23 |
| 202328802830 | Annual Report | 2023-02-19 |
| 202220871150 | Annual Report | 2022-07-08 |
| 202220025300 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202195128600 | Annual Report | 2021-03-30 |
| 202033626170 | Annual Report | 2020-02-03 |
| 201983795190 | Annual Report | 2019-01-05 |
| 201876840990 | Annual Report | 2018-09-07 |
| 201875453740 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201730441510 | Annual Report | 2017-01-18 |
Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
